Scot A Sullivan, MD in Portland, OR - Medicare Ophthalmology

Scot A Sullivan, MD is a medicare enrolled "Ophthalmology" physician in Portland, Oregon. He went to University Of Oklahoma College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Ophthalmology. His current practice location is 10305 Sw Park Way Ste 203, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 223-8333.

Scot A Sullivan is licensed to practice in Oregon (license number MD21723) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164481230.

Contact Information

	Scot A Sullivan, MD
	10305 Sw Park Way Ste 203, Portland, OR 97225-5033
	(503) 223-8333
	(503) 595-8160

Map and Direction

Physician's Profile

Full Name	Scot A Sullivan
Gender	Male
Speciality	Ophthalmology
Experience	29 Years
Location	10305 Sw Park Way Ste 203, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Scot A Sullivan attended and graduated from University Of Oklahoma College Of Medicine in 1995

NPI Data:

NPI Number: 1164481230
Provider Enumeration Date: 03/18/2006
Last Update Date: 09/17/2021

Medicare PECOS Information:

PECOS PAC ID: 9931190725
Enrollment ID: I20040520000726

Medical Identifiers

Medical identifiers for Scot A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164481230	NPI	-	NPPES
134409	Other	OR	GROUP PIN
100102160B	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	20157 (Oklahoma)	Secondary
207W00000X	Ophthalmology	MD21723 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Scot A Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Portland Oculoplastics P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316121692 PECOS PAC ID: 6608885363 Enrollment ID: O20060407000610

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Scot A Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Scot A Sullivan, MD 10305 Sw Park Way Ste 203, Portland, OR 97225-5033 Ph: (503) 223-8333	Scot A Sullivan, MD 10305 Sw Park Way Ste 203, Portland, OR 97225-5033 Ph: (503) 223-8333

Reviews and Comments

Ophthalmology Doctors in Portland, OR

Amy Ying Tong, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1955 Nw Northrup St, Portland, OR 97209 Phone: 503-227-2020
Sungjae Yang, Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239 Phone: 503-494-5023
Dr. Michael David Straiko, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1040 Nw 22nd Ave., Suite 200, Portland, OR 97210 Phone: 503-413-8202 Fax: 503-413-6937
Allison Rebecca Loh, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3375 Sw Terwilliger Blvd, Portland, OR 97239 Phone: 503-494-3000 Fax: 503-494-4286
John Carl Morrison, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 503-494-3000 Fax: 503-418-0843
Adam Marcus Hanif, Ophthalmology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3000 Fax: 503-494-4286
Mr. John Jah-hyun Koo, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3600 N. Interstate Avenue, Department Of Opthalmology, Portland, OR 97227 Phone: 503-331-6330 Fax: 503-571-5877

Scot A Sullivan, MD - Medicare Ophthalmology in Portland, OR